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Anastrazole and Clomiphene to Evaluate Hypogonadal Symptoms and Erectile Function (CAP)

Primary Purpose

Hypogonadism, Male

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Anastrozole 1mg
Clomiphene Citrate 25mg
Placebo - Cap
Sponsored by
Albany Medical College
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypogonadism, Male

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Men age 18-70
  2. Baseline morning Testosterone 150-350 ng/dL x2
  3. leutenizing hormone (LH) 1.5-9.2 miU/mL, Follicle stimulation hormone (FSH) 1.6-8.0 miU/mL, Prolactin 4-15 ng/mL
  4. Positive Androgen Deficiency in the Aging Male (ADAM) score. A positive score is when an affirmative answer (''yes'') to either questions "Do you have a decreased sex drive/libido?" or "Are your erections less strong?" or any three other questions.10
  5. Body mass index (BMI) <40
  6. Sexual health inventory for men (SHIM) score >7 and <21. Patients are allowed to be taking phosphodiesterase 5 inhibitors (i.e. Viagra, Levitra, Cialis) at baseline, however we will ask them to do the SHIM survey as if they were not taking this medication.
  7. Men must attempt to have at least four sexual encounters over each of the eight-week periods
  8. Men willing not to take phosphodiesterase 5 inhibitors throughout the entire study

Exclusion Criteria:

  1. Current or previous history of prostate cancer
  2. Previous or current androgen deprivation therapy for prostate cancer,
  3. Past surgical history of prostatectomy.
  4. History of testicular cancer.
  5. History of deep vein thrombosis (DVT) or blood dyscrasia
  6. History of breast cancer
  7. Men with past or current treatment for erectile dysfunction including MUSE (alprostodil), intracavernosal injections, penile prosthesis. Men not on treatment or men who are on phosphodiesterase inhibitors will be allowed to be in the study but must stop their use at the screening visit.
  8. Chronic opioid use
  9. Use of steroids within the past 3 months, including prednisone and/or cortisone injections, and inhaled steroids. Topical steroid cream is acceptable.
  10. History of or current use of anabolic steroids, i.e. testosterone, (or any analog of testosterone) dihydroepiandrosterone (DHEA), dihydroepiandrosterone sulfate (DHEAS) or any growth promoters i.e. growth hormone itself or analogs of growth hormone
  11. History of or current use of anti-androgen medications, i.e. Aldactone, Tagamet, estrogens
  12. Alcohol intake > 30 grams (drink more than 2 beers per day OR more than 1 glass of wine or cocktail daily)
  13. Having started a new medication during the past three months which may interfere with the outcome measures of the study
  14. Polycythemia (HCT >52% )
  15. History of prostate specific antigen (PSA)> 4.0 ng/dl
  16. Hematocrit (HCT)< 36 %
  17. Liver function tests greater than 2 times upper normal limits or history of abnormal electrolytes, calcium or Parathyroid hormone without workup, at the discretion of the investigator.
  18. Previous hypogonadal treatment within last 3 months. -

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Other

    Other

    Other

    Other

    Other

    Other

    Arm Label

    anastrazole-clomiphene-placebo

    anastrazole-placebo-clomiphene

    clomiphene-anastrazole-placebo

    clomiphene-placebo-anastrazole

    placebo-clomiphene-anastrazole

    placebo-anastrazole-clomiphene

    Arm Description

    anastrozole for eight weeks then clomiphene for eight weeks then placebo for eight weeks

    anastrozole for eight weeks then placebo for eight weeks then clomiphene for eight weeks

    clomiphene for eight weeks then anastrozole for eight weeks then placebo for eight weeks

    clomiphene for eight weeks then placebo for eight weeks then anastrozole for eight weeks

    placebo for eight weeks then clomiphene for eight weeks then anastrozole for eight weeks

    placebo for eight weeks then anastrozole for eight weeks then clomiphene for eight weeks

    Outcomes

    Primary Outcome Measures

    IIEF (International Index of Erectile Function) Score - Screen
    15 item self reported erectile function. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    IIEF (International Index of Erectile Function) Score - Week 8
    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    IIEF (International Index of Erectile Function) Score - Week 16
    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    IIEF (International Index of Erectile Function) Score - Week 24
    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75

    Secondary Outcome Measures

    Normalized Testosterone - Screen
    Normalized at >350ng/dl
    Normalized Testosterone - Week 8
    Normalized at >350ng/dl
    Normalized Testosterone - Week 16
    Normalized at >350ng/dl
    Normalized Testosterone - Week 24
    Normalized at >350ng/dl
    ADAM (Androgen Deficiency in the Aging Male) Score - Screen
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    ADAM (Androgen Deficiency in the Aging Male) Score - Week 8
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    ADAM (Androgen Deficiency in the Aging Male) Score - Week 16
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    ADAM (Androgen Deficiency in the Aging Male) Score - Week 24
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    EHS (Erectile Hardness Score) - Screen
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    EHS (Erectile Hardness Score) - Week 8
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    EHS (Erectile Hardness Score) - Week 16
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    EHS (Erectile Hardness Score) - Week 24
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    LH - Screen
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    LH - Week 8
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    LH - Week 16
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    LH - Week 24
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    FSH - Screen
    Lab Values for follicle stimulating hormone
    FSH - Week 8
    Lab Values for follicle stimulating hormone
    FSH - Week 16
    Lab Values for follicle stimulating hormone
    FSH - Week 24
    Lab Values for follicle stimulating hormone
    Free Testosterone - Screen
    Measure of Free Testosterone
    Free Testosterone - Week 8
    Measure of Free Testosterone
    Free Testosterone - Week 16
    Measure of Free Testosterone
    Free Testosterone - Week 24
    Measure of Free Testosterone
    Estradiol - Screen
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24
    Estradiol - Week 8
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5
    Estradiol - Week 16
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5
    Estradiol - Week 24
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5
    SHBG - Screen
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    SHBG - Week 8
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    SHBG - Week 16
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    SHBG - Week 24
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    SEP #1-3 Cumulative - Screen
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    SEP #1-3 Cumulative - Week 8
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    SEP #1-3 Cumulative - Week 16
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    SEP #1-3 Cumulative - Week 24
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0

    Full Information

    First Posted
    April 29, 2019
    Last Updated
    October 26, 2019
    Sponsor
    Albany Medical College
    Collaborators
    Laboratory Corporation of America
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03933618
    Brief Title
    Anastrazole and Clomiphene to Evaluate Hypogonadal Symptoms and Erectile Function
    Acronym
    CAP
    Official Title
    A Randomized Double Blinded Placebo Controlled Trial Between Anastrozole and Clomiphene to Evaluate Improvement in Hypogonadal Symptoms and Erectile Function Using ADAM, IIEF and EHS Validated Scales
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    April 2, 2015 (Actual)
    Primary Completion Date
    March 8, 2017 (Actual)
    Study Completion Date
    March 8, 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Albany Medical College
    Collaborators
    Laboratory Corporation of America

    4. Oversight

    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study evaluates anastrazole and clomiphene in the improvement in hypogonadal symptoms and erectile function. Each subject will receive Anastrazole 1 mg/day, clomiphene 25 mg/day and placebo in randomized schedule of 8 week intervals.
    Detailed Description
    Aromatase inhibitors (AI) (Anastrazole) and selective estrogen receptor modifiers (SERMS)(clomiphene) increase testosterone production through stimulation of the hypothalamic pituitary axis. While these drugs both reduce the feedback inhibition of estrogen on the pituitary, SERMs cause an increase in serum estradiol, whereas AIs reduce estradiol levels. Using these medications, we can obtain therapeutic testosterone levels with either an increase or decrease in estradiol levels.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypogonadism, Male

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    24 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    anastrazole-clomiphene-placebo
    Arm Type
    Other
    Arm Description
    anastrozole for eight weeks then clomiphene for eight weeks then placebo for eight weeks
    Arm Title
    anastrazole-placebo-clomiphene
    Arm Type
    Other
    Arm Description
    anastrozole for eight weeks then placebo for eight weeks then clomiphene for eight weeks
    Arm Title
    clomiphene-anastrazole-placebo
    Arm Type
    Other
    Arm Description
    clomiphene for eight weeks then anastrozole for eight weeks then placebo for eight weeks
    Arm Title
    clomiphene-placebo-anastrazole
    Arm Type
    Other
    Arm Description
    clomiphene for eight weeks then placebo for eight weeks then anastrozole for eight weeks
    Arm Title
    placebo-clomiphene-anastrazole
    Arm Type
    Other
    Arm Description
    placebo for eight weeks then clomiphene for eight weeks then anastrozole for eight weeks
    Arm Title
    placebo-anastrazole-clomiphene
    Arm Type
    Other
    Arm Description
    placebo for eight weeks then anastrozole for eight weeks then clomiphene for eight weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Anastrozole 1mg
    Intervention Type
    Drug
    Intervention Name(s)
    Clomiphene Citrate 25mg
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo - Cap
    Primary Outcome Measure Information:
    Title
    IIEF (International Index of Erectile Function) Score - Screen
    Description
    15 item self reported erectile function. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    Time Frame
    At baseline
    Title
    IIEF (International Index of Erectile Function) Score - Week 8
    Description
    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    Time Frame
    Week 8
    Title
    IIEF (International Index of Erectile Function) Score - Week 16
    Description
    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    Time Frame
    Week 16
    Title
    IIEF (International Index of Erectile Function) Score - Week 24
    Description
    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75
    Time Frame
    Week 24
    Secondary Outcome Measure Information:
    Title
    Normalized Testosterone - Screen
    Description
    Normalized at >350ng/dl
    Time Frame
    Baseline
    Title
    Normalized Testosterone - Week 8
    Description
    Normalized at >350ng/dl
    Time Frame
    Week 8
    Title
    Normalized Testosterone - Week 16
    Description
    Normalized at >350ng/dl
    Time Frame
    Week 16
    Title
    Normalized Testosterone - Week 24
    Description
    Normalized at >350ng/dl
    Time Frame
    Week 24
    Title
    ADAM (Androgen Deficiency in the Aging Male) Score - Screen
    Description
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    Time Frame
    Baseline
    Title
    ADAM (Androgen Deficiency in the Aging Male) Score - Week 8
    Description
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    Time Frame
    Week 8
    Title
    ADAM (Androgen Deficiency in the Aging Male) Score - Week 16
    Description
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    Time Frame
    Week 16
    Title
    ADAM (Androgen Deficiency in the Aging Male) Score - Week 24
    Description
    Self reported quantification of hypogonadism. 10 "yes" or "no" questions. A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions. Yes (1) represents a better outcome than No (1) In Data Entry: Yes - 1 No - 0
    Time Frame
    Week 24
    Title
    EHS (Erectile Hardness Score) - Screen
    Description
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    Time Frame
    Baseline
    Title
    EHS (Erectile Hardness Score) - Week 8
    Description
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    Time Frame
    Week 8
    Title
    EHS (Erectile Hardness Score) - Week 16
    Description
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    Time Frame
    Week 16
    Title
    EHS (Erectile Hardness Score) - Week 24
    Description
    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid
    Time Frame
    Week 24
    Title
    LH - Screen
    Description
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    Time Frame
    Baseline
    Title
    LH - Week 8
    Description
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    Time Frame
    Week 8
    Title
    LH - Week 16
    Description
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    Time Frame
    Week 16
    Title
    LH - Week 24
    Description
    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.
    Time Frame
    Week 24
    Title
    FSH - Screen
    Description
    Lab Values for follicle stimulating hormone
    Time Frame
    Baseline
    Title
    FSH - Week 8
    Description
    Lab Values for follicle stimulating hormone
    Time Frame
    Week 8
    Title
    FSH - Week 16
    Description
    Lab Values for follicle stimulating hormone
    Time Frame
    Week 16
    Title
    FSH - Week 24
    Description
    Lab Values for follicle stimulating hormone
    Time Frame
    Week 24
    Title
    Free Testosterone - Screen
    Description
    Measure of Free Testosterone
    Time Frame
    Baseline
    Title
    Free Testosterone - Week 8
    Description
    Measure of Free Testosterone
    Time Frame
    Week 8
    Title
    Free Testosterone - Week 16
    Description
    Measure of Free Testosterone
    Time Frame
    Week 16
    Title
    Free Testosterone - Week 24
    Description
    Measure of Free Testosterone
    Time Frame
    Week 24
    Title
    Estradiol - Screen
    Description
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24
    Time Frame
    Baseline
    Title
    Estradiol - Week 8
    Description
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5
    Time Frame
    Week 8
    Title
    Estradiol - Week 16
    Description
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5
    Time Frame
    Week 16
    Title
    Estradiol - Week 24
    Description
    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5
    Time Frame
    Week 24
    Title
    SHBG - Screen
    Description
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    Time Frame
    Baseline
    Title
    SHBG - Week 8
    Description
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    Time Frame
    Week 8
    Title
    SHBG - Week 16
    Description
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    Time Frame
    Week 16
    Title
    SHBG - Week 24
    Description
    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24
    Time Frame
    Week 24
    Title
    SEP #1-3 Cumulative - Screen
    Description
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    Time Frame
    Baseline
    Title
    SEP #1-3 Cumulative - Week 8
    Description
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    Time Frame
    Week 8
    Title
    SEP #1-3 Cumulative - Week 16
    Description
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    Time Frame
    Week 16
    Title
    SEP #1-3 Cumulative - Week 24
    Description
    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3. 0-3: cumulative score from SEP questions 1, 2, and 3 Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0
    Time Frame
    Week 24

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Men age 18-70 Baseline morning Testosterone 150-350 ng/dL x2 leutenizing hormone (LH) 1.5-9.2 miU/mL, Follicle stimulation hormone (FSH) 1.6-8.0 miU/mL, Prolactin 4-15 ng/mL Positive Androgen Deficiency in the Aging Male (ADAM) score. A positive score is when an affirmative answer (''yes'') to either questions "Do you have a decreased sex drive/libido?" or "Are your erections less strong?" or any three other questions.10 Body mass index (BMI) <40 Sexual health inventory for men (SHIM) score >7 and <21. Patients are allowed to be taking phosphodiesterase 5 inhibitors (i.e. Viagra, Levitra, Cialis) at baseline, however we will ask them to do the SHIM survey as if they were not taking this medication. Men must attempt to have at least four sexual encounters over each of the eight-week periods Men willing not to take phosphodiesterase 5 inhibitors throughout the entire study Exclusion Criteria: Current or previous history of prostate cancer Previous or current androgen deprivation therapy for prostate cancer, Past surgical history of prostatectomy. History of testicular cancer. History of deep vein thrombosis (DVT) or blood dyscrasia History of breast cancer Men with past or current treatment for erectile dysfunction including MUSE (alprostodil), intracavernosal injections, penile prosthesis. Men not on treatment or men who are on phosphodiesterase inhibitors will be allowed to be in the study but must stop their use at the screening visit. Chronic opioid use Use of steroids within the past 3 months, including prednisone and/or cortisone injections, and inhaled steroids. Topical steroid cream is acceptable. History of or current use of anabolic steroids, i.e. testosterone, (or any analog of testosterone) dihydroepiandrosterone (DHEA), dihydroepiandrosterone sulfate (DHEAS) or any growth promoters i.e. growth hormone itself or analogs of growth hormone History of or current use of anti-androgen medications, i.e. Aldactone, Tagamet, estrogens Alcohol intake > 30 grams (drink more than 2 beers per day OR more than 1 glass of wine or cocktail daily) Having started a new medication during the past three months which may interfere with the outcome measures of the study Polycythemia (HCT >52% ) History of prostate specific antigen (PSA)> 4.0 ng/dl Hematocrit (HCT)< 36 % Liver function tests greater than 2 times upper normal limits or history of abnormal electrolytes, calcium or Parathyroid hormone without workup, at the discretion of the investigator. Previous hypogonadal treatment within last 3 months. -
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Robert C Welliver, MD
    Organizational Affiliation
    Albany Medical College
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Anastrazole and Clomiphene to Evaluate Hypogonadal Symptoms and Erectile Function

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